包郵煤工塵肺病理學(xué)圖譜(3)

作者：楊方,孫影,劉和亮

出版社：人民衛(wèi)生出版社出版時間：2021-03-01

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ISBN：9787117310734
條形碼：9787117310734 ; 978-7-117-31073-4
裝幀：一般膠版紙
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煤工塵肺病理學(xué)圖譜(3) 內(nèi)容簡介

全書精選了約260幅煤工塵肺大體與顯微鏡下典型的病理形態(tài)學(xué)病變圖像，按照病變發(fā)生、發(fā)展演變的規(guī)律進行了編著。在圖譜導(dǎo)讀部分對煤工塵肺病變的特點與演變規(guī)律進行了詳細的闡述，并在圖譜部分對每幅圖像的病變特點又輔以中英文對照的圖注說明。同時結(jié)合特殊染色將一些病變特點凸顯得更加明晰。本書描繪了煤工塵肺肺部病變，同時也是研究疾病發(fā)生、發(fā)展變化規(guī)律的重要參考

煤工塵肺病理學(xué)圖譜(3) 目錄

圖譜導(dǎo) 讀 **部分肺臟的基本結(jié)構(gòu)與形態(tài)學(xué)特點 1 肺臟的解剖學(xué)/ 2 2 肺臟的組織形態(tài)學(xué) /3 2.1 肺實質(zhì)：導(dǎo)氣部和呼吸部 /3 2.2 肺間質(zhì)：肺的血管、淋巴管和神經(jīng)組織/ 6 第二部分煤工塵肺形態(tài)學(xué)特點 1 煤工塵肺大體形態(tài)學(xué)特點 /8 1.1 煤斑灶：包括胸膜煤斑灶和肺內(nèi)煤斑灶/ 8 1.2 結(jié)節(jié)病變/9 1.3 塊狀纖維化 9 1.4 彌漫性間質(zhì)纖維化/ 9 1.5 肺氣腫病變/ 9 1.6 淋巴結(jié)的病變(多見肺門淋巴結(jié)的累及)/ 10 1.7 胸膜病變 /10 1.8 煤工塵肺伴發(fā)肺結(jié)核病/ 10 1.9 煤工塵肺伴發(fā)肺癌 /10 1.10 煤工塵肺伴發(fā)肺源性心臟病/ 10 2 煤工塵肺組織形態(tài)學(xué)特點/10 2.1 煤矽肺 /10 2.2 矽煤肺(矽肺) /12 2.3 煤肺 /13 2.4 伴發(fā)性病變/ 13 2.5 其他病變 /14 參考文獻 /16 Atlas Guide Part I Anatomy and Histology of Lung 1 Anatomy of the lung/ 20 2 Histology of the lung/21 2.1 Parenchyma: It includes conduction portion and respiratory portion / 21 2.2 Mesenchyma: It contains blood vessels, lymphatic vessels and nerves / 25 Part II Pathology of Coal Workers' Pneumoconiosis 1 Gross appearance of coal workers' pneumoconiosis/ 27 1.1 Coal dust maculae/27 1.2 Coal dust nodules /28 1.3 Massive fi brosis /28 1.4 Diffuse interstitial fi brosis / 29 1.5 Emphysema /29 1.6 Lesions in the lymph nodes (usually in hilar lymph nodes)/ 29 1.7 Lesions in pleura /29 1.8 Coal works' pneumoconiosis with tuberculosis / 29 1.9 Coal works' pneumoconiosis with lung cancer /30 1.10 Coal works' pneumoconiosis with cor pulmonale /30 2 Histological changes of coal workers' pneumoconiosis/ 30 2.1 Anthracosilicosis/ 30 2.2 Silicosis/32 2.3 Anthracosis/33 2.4 Complicated lesions / 34 2.5 Others /35 References /37 圖譜部分Atlas **部分煤工塵肺大體形態(tài)學(xué)特點Part I Gross Appearance of CoalWorkers' Pneumoconiosis 圖1 胸膜煤斑灶/43 Fig.1 Pleural coal dust maculae / 43 圖2 至圖4 肺內(nèi)煤斑灶/43 Fig.2 to Fig.4 Pulmonary coal dust maculae / 43 圖5 肺內(nèi)煤斑灶伴大泡型肺氣腫形成/ 45 Fig.5 Pulmonary coal dust maculae accompanied by bullous emphysema /45 圖6 肺內(nèi)煤斑灶伴囊泡型肺氣腫形成/ 45 Fig.6 Pulmonary coal dust maculae with cystic emphysema / 45 圖7 和圖8 肺內(nèi)煤斑灶(全肺大切片標本) / 46 Fig.7 and Fig.8 Pulmonary coal dust maculae(the large slice) / 46 圖9 和圖10 肺內(nèi)煤斑灶(肺葉大切片標本) / 47 Fig.9 and Fig.10 Pulmonary coal dust maculae(the large slice)/ 47 圖11 和圖12 肺內(nèi)煤斑灶、煤塵纖維灶(煤結(jié)節(jié))形成/ 48 Fig.11 and Fig.12 Pulmonary coal dust maculae and fi brotic lesions( coal dust nodule) / 48 圖13 和圖14 肺內(nèi)煤斑灶、煤矽結(jié)節(jié)/ 49 Fig.13 and Fig.14 Pulmonary coal dust maculae and coal silicotic nodules /49 圖15 和圖16 肺內(nèi)煤斑灶、煤矽結(jié)節(jié)/ 50 Fig.15 and Fig.16 Pulmonary coal dust maculae and coal silicotic nodules/ 50 圖17 和圖18 肺內(nèi)煤斑灶51 Fig.17 and Fig.18 Pulmonary coal dust maculae 51 圖19 和圖20 進行性塊狀纖維化/ 52 Fig.19 and Fig.20 Progressive massive fi brosis/ 52 圖21 和圖22 進行性塊狀纖維化(肺大切片標本) / 53 Fig.21 and Fig.22 Progressive massive fi brosis(the large slice) / 53 圖23 和圖24 結(jié)節(jié)融合型塊狀纖維化/ 54 Fig.23 and Fig.24 Nodular confl uent massive fi brosis / 54 圖25 和圖26 結(jié)節(jié)融合型塊狀纖維化(同圖23 肺大切片標本) / 55 Fig.25 and Fig.26 Nodular confl uent massive fi brosis( this large slice shares the samplewith Fig.23)/55 圖27 和圖28 混合型塊狀纖維化/ 56 Fig.27 and Fig.28 Mixed massive fi brosis / 56 圖29 至圖38 煤工塵肺伴結(jié)核病/ 57 Fig.29 to Fig.38 Coal works' pneumoconiosis with tuberculosis / 57 圖39 煤工塵肺伴肺癌(周圍型) / 62 Fig.39 Coal works' pneumoconiosis with lung cancer( Peripheral type) / 62 圖40 煤工塵肺伴肺癌(彌漫型) / 62 Fig.40 Coal works' pneumoconiosis with lung cancer( Diffuse type)/ 62 圖41 和圖42 煤工塵肺伴胸膜粘連與增厚/ 63 Fig.41 and Fig.42 Coal works' pneumoconiosis with pleural adhesion and thickening/ 63 圖43 和圖44 煤工塵肺合并肺源性心臟病/ 64 Fig.43 and Fig.44 Coal works' pneumoconiosis with cor pulmonale / 64 第二部分煤工塵肺組織形態(tài)學(xué)特點 Part II Histological Appearance of Coal Workers' Pneumoconiosis 圖45 至圖48 胸膜煤斑/66 Fig.45 to Fig.48 Coal dust dots of pleura/ 66 圖49 至圖52 肺內(nèi)煤斑/68 Fig.49 to Fig.52 Coal dust dots of lung /68 圖53 和圖54 煤塵細胞灶70 Fig.53 and Fig.54 Cellular coal dust foci / 70 圖55 至圖58 煤塵纖維灶/71 Fig.55 to Fig.58 Fibrous coal dust foci / 71 圖59 至圖74 大小不等、形狀各異的煤塵灶/ 73 Fig.59 to Fig.74 Coal dust lesions varying in size and shape / 73 圖75 至圖78 巨噬細胞性肺泡炎/ 77 Fig.75 to Fig.78 Macrophage alveolitis / 77 圖79 至圖82 煤塵細胞性結(jié)節(jié)/ 79 Fig.79 to Fig.82 Cellular coal dust nodules / 79 圖83 至圖86 細胞纖維性結(jié)節(jié)/ 81 Fig.83 to Fig.86 Cellular fi brous nodules /81 圖87 至圖94 煤矽結(jié)節(jié)/83 Fig.87 to Fig.94 Coal silicotic nodules / 83 圖95 不典型煤矽結(jié)節(jié)/88 Fig.95 Atypical coal silicotic nodule / 88 圖96 至圖103 融合型煤矽結(jié)節(jié)/ 89 Fig.96 to Fig.103 Confl uent coal silicotic nodules/ 89 圖104 矽結(jié)節(jié)/93 Fig.104 Silicotic nodule /93 圖105 融合型矽結(jié)節(jié)/93 Fig.105 Confl uent silicotic nodules / 93 圖106 至圖109 矽結(jié)節(jié)/94 Fig.106 to Fig.109 Silicotic nodule/ 94 圖110 至圖113 進行性塊狀纖維化/ 96 Fig.110 to Fig.113 Progressive massive fi brosis / 96 圖114 和圖115 融合型塊狀纖維化 / 98 Fig.114 and Fig.115 Confl uent massive fi brous lesion / 98 圖116 和圖117 彌漫性塵性間質(zhì)纖維化 / 99 Fig.116 and Fig.117 Diffuse coal interstitial fi brosis/ 99 圖118 和圖119 間質(zhì)纖維化伴平滑肌細胞局灶性增生 / 100 Fig.118 and Fig.119 Interstitial fi brosis with local proliferated smooth muscle cells / 100 圖120 和圖121 煤工塵肺伴結(jié)核病變/101 Fig.120 and Fig.121 Coal workers' pneumoconiosis with tuberculosis / 101 圖122 肺內(nèi)早期煤矽結(jié)核結(jié)節(jié)/ 102 Fig.122 Early stage of coal silicotic tuberculous nodule / 102 圖123 肺內(nèi)典型的煤矽結(jié)核結(jié)節(jié)/ 102 Fig.123 Classic coal silicotic tuberculous nodule / 102 圖124 肺內(nèi)煤矽結(jié)核結(jié)節(jié)/103 Fig.124 Coal silicotic tuberculous nodules/ 103 圖125 至圖127 肺內(nèi)融合型煤矽結(jié)核結(jié)節(jié)/103 Fig.125 to Fig.127 Confl uent coal silicotic tuberculous nodules / 103 圖128 和圖129 煤工塵肺矽結(jié)核結(jié)節(jié)/105 Fig.128 and Fig.129 Silicotic tuberculous nodules of coal works' pneumoconiosis / 105 圖130 結(jié)節(jié)融合型塊狀纖維化/ 106 Fig.130 Nodular confl uent massive fibrosis / 106 圖131 至圖134 煤工塵肺伴播散性粟粒性肺結(jié)核/ 106 Fig.131 to Fig.134 Disseminated miliary tuberculosis of coal workers' pneumoconiosis / 106 圖135 塵性結(jié)核性結(jié)節(jié)/108 Fig.135 Coal dust tuberculous nodules / 108 圖136 和圖137 塵性結(jié)核性肉芽腫(結(jié)節(jié))/ 109 Fig.136 and Fig.137 Coal dust tuberculous granuloma( nodule) / 109 圖138 和圖139 塵性結(jié)核性支氣管炎/ 110 Fig.138 and Fig.139 Coal dust tuberculous bronchiolitis / 110 圖140 煤工塵肺伴結(jié)核性胸膜炎/ 111 Fig.140 Tuberculous pleuritis of coal workers' pneumoconiosis / 111 圖141 煤工塵肺結(jié)核性空洞/ 111 Fig. 141 Tuberculous cavity of coal workers' pneumoconiosis . 111 圖142 和圖143 煤工塵肺伴發(fā)肺腺癌/ 112 Fig.142 and Fig.143 Coal workers' pneumoconiosis with pulmonary adenocarcinoma / 112 圖144 和圖145 煤工塵肺伴淋巴結(jié)轉(zhuǎn)移腺癌/ 113 Fig.144 and Fig.145 Coal workers' pneumoconiosis with lymph node adenocarcinoma metastasis / 113 圖146 和圖147 煤工塵肺伴發(fā)肺腺癌/ 114 Fig.146 and Fig.147 Coal workers' pneumoconiosis with pulmonary adenocarcinoma / 114 圖148 至圖151 煤工塵肺伴發(fā)腺鱗癌/ 115 Fig.148 to Fig151 Coal workers' pneumoconiosis with pulmonary adenosquamous carcinoma / 115 圖152 和圖153 煤工塵肺伴發(fā)惡性間皮瘤/117 Fig.152 and Fig.153 Coal workers' pneumoconiosis with malignant mesothelioma/ 117 圖154 煤工塵肺伴發(fā)惡性間皮瘤淋巴結(jié)轉(zhuǎn)移/ 118 Fig.154 Coal workers' pneumoconiosis with lymph node malignant mesothelioma metastasis 118 圖155 血管內(nèi)瘤栓形成118 Fig.155 Carcinoma cells emboli in small blood vessels / 118 圖156 至圖159 淋巴結(jié)煤塵沉積. 119 Fig.156 to Fig.159 Lymph nodes with coal dust deposition . 119 圖160 至圖163 淋巴結(jié)內(nèi)煤矽結(jié)節(jié). 121 Fig.160 to Fig.163 Coal silicotic nodules in lymph nodes / 121 圖164 淋巴結(jié)病變/123 Fig.164 Silicotic lesions in lymph nodes/ 123 圖165 至圖167 淋巴結(jié)內(nèi)矽結(jié)節(jié)/ 123 Fig.165 to Fig.167 Silicotic nodules in lymph node / 123 圖168 至圖171 淋巴結(jié)內(nèi)融合型矽結(jié)節(jié)/ 125 Fig.168 to Fig.171 Confl uent silicotic nodules in lymph node / 125 圖172 和圖173 淋巴結(jié)內(nèi)煤矽結(jié)核結(jié)節(jié)/ 127 Fig.172 and Fig.173 Coal silicotic tuberculous nodules in lymph nodes / 127 圖174 和圖175 淋巴結(jié)內(nèi)矽結(jié)核結(jié)節(jié). 128 Fig.174 and Fig.175 Silicotic tuberculous nodules in lymph nodes / 128 圖176 至圖180 煤塵侵及支氣管/129 Fig.176 to Fig.180 Coal dust deposition in bronchi /129 圖181 至圖183 塵性慢性細支氣管炎/ 131 Fig.181 to Fig.183 Coal chronic bronchiolitis /131 圖184 至圖189 胸膜病變/133 Fig. 814 to Fig.189 Pleural lesions / 133 圖190 煤塵沉積在肺內(nèi)小支氣管/ 136 Fig.190 Coal dust deposition in small bronchia / 136 圖191 煤塵沉積在肺內(nèi)細支氣管及終末細支氣管/ 136 Fig.191 Coal dust deposition in small bronchia and terminal bronchia / 136 圖192 和圖193 煤塵沉積在呼吸性細支氣管及其分支/ 137 Fig.192 and Fig.193 Coal dust deposition in respiratory bronchia and its branaches /137 圖194 塵性小葉中心型肺氣腫/138 Fig.194 Coal dust-induced centriacinar emphysema /138 圖195 全小葉破壞型肺氣腫/ 138 Fig.195 Destructive panacinar emphysema / 138 圖196 和圖197 累及肺動脈/ 139 Fig.196 and Fig.197 Lesions in pulmonary artery / 139 圖198 肺內(nèi)小動脈病變/140 Fig.198 Lesions in pulmonary small arteries / 140 圖199 肺內(nèi)小血管病變/140 Fig.199 Lesions in pulmonary small vessels / 140 圖200 和圖201 小動脈病變/141 Fig.200 and Fig.201 Lesions in small arteries / 141 圖202 煤塵累及淋巴結(jié)及其脂肪組織/ 142 Fig.202 Coal dust deposits involve lymph nodes and adipose tissue / 142 圖203 煤塵累及支氣管及其周圍脂肪組織/ 142 Fig.203 Involvement of bronchi and adjacent fat tissue by coal dusts / 142 圖204 和圖205 淋巴管病變/ 143 Fig.204 and Fig.205 Lesions in the lymphatic vessels / 143 圖206 和圖207 胸膜下神經(jīng)纖維受累/144 Fig.206 and Fig.207 Coal dusts involve subpleural nerve fi bers / 144 圖208 煤工塵肺伴漿液出血性炎/ 145 Fig.208 Coal workers' pneumoconiosis with serous hemorrhagic infl ammation / 145 圖209 煤工塵肺伴肺水腫/145 Fig.209 Coal workers' pneumoconiosis with pulmonary edema / 145 圖210 和圖211 煤工塵肺伴肺淤血、肺水腫 /146 Fig.210 and Fig.211 Coal workers' pneumoconiosis with pulmonary congestion and edema/ 146 圖212 煤工塵肺伴化膿性炎/ 147 Fig.212 Coal workers pneumoconiosis with purulent infl ammation / 147 圖213 煤工塵肺伴膿腫/147 Fig.213 Coal workers' pneumoconiosis with abscess / 147 圖214 煤工塵肺伴漿液、纖維素性炎/ 148 Fig.214 Coal workers' pneumoconiosis with serous fi brinous infl ammation / 148 圖215 煤工塵肺伴漿液、化膿性炎/ 148 Fig.215 Coal workers' pneumoconiosis with serous purulent infl ammation / 148 圖216 和圖217 煤工塵肺“棒狀小體”形成 /149 Fig.216 and Fig.217 “Rod-shaped” bodies of coal workers' pneumoconiosis / 149 圖218 至圖223 肌成纖維細胞分化/ 150 Fig.218 to Fig.223 Myofi broblasts differentiation / 150 圖224 正常心肌組織(右心室)/ 154 Fig.224 Normal heart tissue( from right ventricle)/ 154 圖225 肺源性心臟病心肌組織(右心室)/ 154 Fig.225 Right ventricle with cor pulmonale / 154 第三部分煤工塵肺案例 Part III Cases of Coal Workers' Pneumoconiosis 案例一煤矽肺Ⅰ期(結(jié)節(jié)+ 塵斑- 氣腫) /156 Case 1 Anthracosilicosis(stage Ⅰ，Nodules and maculae surrounded by emphysema) / 157 案例二煤肺Ⅰ期(煤塵斑灶+ 細胞性結(jié)節(jié)) / 161 Case 2 Anthracosis(stage Ⅰ，Coal dust maculae and cellular nodules) /162 案例三煤矽肺Ⅱ期(塵斑- 氣腫型) 166 Case 3 Anthracosilicosis( stage Ⅱ，Coal dust maculae and emphysema) / 167 案例四煤矽肺Ⅲ期(大塊纖維化) / 170 Case 4 Anthracosilicosis(stage Ⅲ，Massive fi brosis) / 171 案例五煤矽肺Ⅲ期合并肺結(jié)核病/ 176 Case 5 Anthracosilicosis( stage Ⅲ) with pulmonary tuberculosis /177 案例六煤矽肺Ⅲ期合并肺癌 /182 Case 6 Anthracosilicosis( stage Ⅲ) with lung cancer / 183 案例七煤肺Ⅰ期(煤斑- 氣腫)合并肺源性心臟 / 189 Case 7 Anthracosis( stage Ⅰ，Coal dust maculae and emphysema) with cor pulmonale /191 后記 /198 Acknowledgement/ 199

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煤工塵肺病理學(xué)圖譜(3) 作者簡介

楊方，華北理工大學(xué)教授，主任醫(yī)師，博士生導(dǎo)師。河北省第十一屆政協(xié)常委，唐山市第十屆、第十一屆政協(xié)副主席，民進唐山市委第六屆、第七屆主任委員。全國很好教師，河北省省管很好專家，河北省有突出貢獻中青年專家，中國僑界杰出人物提名獎和貢獻獎。曾任河北省醫(yī)學(xué)會病理學(xué)分會副主任委員，河北省生理科學(xué)會副理事長，唐山市醫(yī)學(xué)會病理學(xué)分會主任委員。發(fā)表論文260余篇（SCI收錄60余篇），主編著作2部，參編著作1部。主持與完成國家自然科學(xué)基金項目3項，國家973課題（協(xié)作單位負責人）1項。省（部）、市（廳）級科研項目10余項。獲河北省科技進步二等獎2項、三等獎1項，能源部、原衛(wèi)生部科技進步三等獎各1項，中國煤炭工業(yè)科學(xué)技術(shù)三等獎1項，河北省教學(xué)成果三等獎1項。

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